Liu Xiong-wen, Yang Bao-ying, Li Qing-chu, Tan Bin, Hu Hui-lin, Liu Gang
Department of Orthopaedics Surgery, Longquan-shan Hospital of Guangxi, Liuzhou 545005, Guangxi, China.
Zhongguo Gu Shang. 2009 Jan;22(1):37-8.
To investigate operative skill and recent clinical effects of remaining bulk ligamentum flava and treatment of lumbar intervertebral disc protrusion by micro-endoscope.
Fifty-two cases with lumbar intervertebral disc protrusion included 31 males, 21 females; aged from 28 to 45 years,mean 36 years; L(4,5) in 24 cases, L5S1 in 28 cases. Under the micro-endoscope, all patient were excised the vertebral plate partly, decompressed the nerve root, remaining bulk ligament flava and excised the herniated nucleus pulposus.
Forty-six of 52 patients were followed up for 5 to 51 months with an average of 34.5. According to the effect of Nakai standards,the results were excellent in 34 cases, good in 9 cases, fair in 3 cases. The operation time was 45 to 75 minutes and bleeding was 40 to 80 ml. There were no nerve root injury and endorachis tear complications.
The bulk ligamentum flava remaining cure intervertebral disc protrusion by micro-endoscope, demic natural anatomic structure is retained through technically manipulate and spinalis constancy is kept.
探讨保留部分黄韧带的显微内窥镜下治疗腰椎间盘突出症的手术技巧及近期临床疗效。
52例腰椎间盘突出症患者，男31例，女21例；年龄28～45岁，平均36岁；L4、5节段24例，L5S1节段28例。在显微内窥镜下，所有患者均行部分椎板切除、神经根减压，保留部分黄韧带并切除突出的髓核。
52例患者中46例获5～51个月随访，平均34.5个月。按中井标准评定疗效，优34例，良9例，可3例。手术时间45～75分钟，出血量40～80毫升。无神经根损伤及硬脊膜撕裂等并发症。
显微内窥镜下保留部分黄韧带治疗腰椎间盘突出症，通过技术操作保留了部分正常解剖结构，维持了脊柱稳定性。
